Which is an accurate nursing action when treating a patient's rash with a lotion?
a. Avoid shaking the container prior to application.
b. Cleanse area with alcohol prior to treatment.
c. Cover the area with gauze because of the oil base.
d. Pat on the area with a gloved hand.
ANS: D
To prevent increased circulation and itching, lotions should be gently but firmly patted on the skin, rather than rubbed in. Shake all lotions thoroughly immediately before application. Lotions are aqueous and are easily cleansed with water. Lotions are not oil based.
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The nurse is caring for a postoperative patient who needs daily dressing changes. The patient is 3 days postoperative and is scheduled for discharge the next day. Until now, the patient has refused to learn how to change her dressing
What would indicate to the nurse the patient's possible readiness to learn how to change her dressing? Select all that apply. A) The patient wants you to teach a family member to do dressing changes. B) The patient expresses interest in the dressing change. C) The patient is willing to look at the incision during a dressing change. D) The patient expresses dislike of the surgical wound. E) The patient assists in opening the packages of dressing material for the nurse.
Which is the priority nursing diagnosis during the acute phase of burn injury for a child who has a third-degree circumferential burn of the right arm?
1. Risk for infection 2. Risk for altered tissue perfusion 3. Risk for altered nutrition: less than body requirements 4. Impaired physical mobility
Several nurses are discussing alternative health practices. One nurse says, "It's a bogus practice. There's no value in it. It's like a fad and it will fade away." Which is the most appropriate response by an informed nurse?
A) "Complementary therapies are similar to nursing practice in that they take a holistic approach to healing." B) "The government is conducting research to prove that these therapies are ineffective." C) "Complementary therapies are not compatible with traditional nursing practice." D) "There's no evidence to show that any complementary therapy is effective."
The nurse is providing care to a college student having a psychiatric emergency and related suicide attempt. Which action should the nurse take first?
a. Obtain a list of drug allergies from the student. b. Determine if alcohol or illicit drugs have been used recently. c. Instruct the student how to place an order with dietary services. d. Encourage the patient to verbalize his or her feelings about the event.